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Form 990 (2001 ) HIBISCUS CHILDREN ' S CENTER at ' > E Other Information 59 - 2632361 Page 5 76 Did the organization engage in any activity not previously reported to the IRS ? If "Yes ; attach a detailed description of each activityYes No 77 Were any changes made in the organizing or governing documents but not reported to the IRS ? 76 X If "Yes ," attach a conformed copy of the changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " " " ' . . . . . . . . . . . . . . . . . . . . . . . . • • • . . . 77 X 78 a Did the organization have unrelated business gross income of $ 1 ,000 or more during the year covered by this return ? b If "Yes ," has it filed a tax return on Form 990 -T for this year? . . . . . . • • 78a X - . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . N /A . . . . . . . . . 78b 79 Was there a liquidation , dissolution , termination , or substantial contraction during the year? . . , • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 0 If "Yes , attach a statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 X 80 a Is the organization related (other than by association with a statewide or nationwide organization ) through common m governing bodies trustees , 9 membership X.w . 9 tees , officers , etc. , to any other exempt or nonexempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80a X b If "Yes ," enter the name of the organization ► HIBISCUS HOUSE CHILDREN ' S FOUNDATION and check whether ther ' ' ii X is ex 0 em 81 t OR a Enter n direct o e P 0 nex ct or indirect Political ex empt. P expenditures . See line 81 instructions b Did the organization file Form 1120-POL for this year? 0 ' < : >:i «.:'•>:::'•> ::> ::> ::: :>? ffi . . . 82 a Did the organization receive donated services or the use of materials , equipment, or facilities at no cha.rge or at substantially less than 81b X fair rental value? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If "Yes ; you may indicate the value of these items here . Do not in this amount as revenue . . Part I or a.. an 82a X expense in Pan' II. (See instructions in Part 111 . ) 83 a . . . . . . . . . . . . . . . . . . . 82b N / A ::> <:: :>< ::: : ::?:>::`::::>::: Did the organization comply with the public inspection requirements for returns and exemption applications ? • . b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? • . . . " ' " " " " ' • • . . . . 83a X 84 a Did the organization solicit any contributions or gifts that were not tax deductible? . . . " " " " " " " " " ' • • . . . . • • 836 X I "Yes ; did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible ? . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . >::>» ; . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84b 85 501 (c)(4), (5), or (6) organizations. a Were substantia%lly all dues nondeductible by members? , • . . " ' N • A . . . . . - b Did the organization make only in-house lobbying expenditures of $2 ,000 or less ? . . . • • - _ • . NSA . . . . . . . . . 85a If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver fo pr xy tax 85b owed for the prior year. C Dues , assessments , and similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Section 162(e) lobbying and political expenditures " " " " " 85c N / A . . . . . . . . . . . . . . . . . . . . . . e Aggregate nondeductible amount of section 6033(e)(1 )(A) dues notices . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . 85e N /A :> >:: ': :'> : :;>•: :: ? z :• f Taxable amount of lobbying and political expenditures (line 85d less 85e) g Does the organization elect to pay the section 6033(e ) tax on the amount in 85f? ' . . . . .. . . . . .. . . . . . . . . . . . . . . .. . . . :. . ffiw awe " o * a h If section 6033(e)( 1 )(A) dues notices were sent, does the organization agree to add the amount In 85f to its reasonable esoffitimate004 gow of duAes 85 allocable to nondeductible lobbying and political expenditures for the following tax year? 86 501 c NI!A . . . . . . . . . 85h ( )(7) organizations. Enter: a Initiation fees and capital contributions included on line 1286a N / A_ b Gross receipts , included on line 12, for public use of club facilities , , . . , . • , • • _ . , . . • � � � � „ -�-�•'`•`�''•`� `•''•"'""' '"�"'±`�"� % 87 501 (c)(12) organizations. Enter. a Gross income from members or shareholders . • . . . • b Gross income from other sources . (Do not net amounts due or paid to other sources " " 87a N / A against amounts due or received from them .) 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, V Oran entity disregarded as separate from the organization under Regulations sections 301 .7701 -2 and 301 .7701 -3 ? If "Yes ; complete Part IX • , • . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 a 501 (c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under: 88 X section 4911 POP 0 . ; section 4912 ► 0 . ; section ectron 4955 ► b 501 c 0 . ( )(3) and 501 c 4 0 r9 rd the organization engage in any section 4958 excess benefit • ' " " " " transaction during the year or did ft become aware of an excess benefit transaction from a pdoryear?. If "Yes ; attach a statement explaining each transaction c Enter: Amount of tax imposed on the organization managers or disquall fie d persons during the year under . . . . . . . a . . . . . . . . . . . ' • " " " • • 89b X sections 4912 , 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Enter: Amount of tax on line 89c, above , reimbursed by the organization _ _ � � • • • • � � " ' � � " ' 90 a List the states with which a copy of this return is filed ► NONE ' . . . . . . . . . . . . . . . . ► 0 b Number of employees employed in the pay period that includes March 12, 2001 . . . . . . . . . . . . . . . . 91 The books are in care of ► ROBERT DEYO , JR . Telephone no. ► 772 - 334 - 9311 Locatedat ► 2400 N . E . DIXIE HIGHWAY JENSEN BEACH , FLORIDA ZIP + 4 ► 34957 92 Section 4947(a)(1) nonexempt charitable trusts filingForm 990 in lieu of Form 1041 - Check here 123041 and enter the amount of tax-exem t interest received or accrued during the tax ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • ► 92 � N / A 01 -02-02 5 Form 990 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 1- 8252A(211 )